TN 56 (11-04)

A. EXHIBIT - VALUES FOR THE PERIOD JANUARY 1984 THROUGH DECEMBER 1984

*All presumed values are rebuttable.

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050.

B. EXHIBIT - VALUES FOR THE PERIOD JANUARY 1985 THROUGH DECEMBER 1985

*All presumed values are rebuttable

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050.

C. EXHIBIT - VALUES FOR THE PERIOD JANUARY 1986 THROUGH DECEMBER 1986

*All presumed values are rebuttable.

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050.

D. EXHIBIT - VALUES FOR THE PERIOD JANUARY 1987 THROUGH DECEMBER 1987

*All presumed values are rebuttable.

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050.

E. EXHIBIT - VALUES FOR THE PERIOD JANUARY 1988 THROUGH DECEMBER 1988

*All presumed values are rebuttable.

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050.

F. EXHIBIT - VALUES FOR THE PERIOD JANUARY 1989 THROUGH DECEMBER 1989

*All presumed values are rebuttable.

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050.

G. EXHIBIT - VALUES FOR CY 1990

*All presumed values are rebuttable

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, including private nonprofit domiciliary care facilities where there is countable in-kind support and maintenance.

⁴ When one member of an eligible couple is in a Medicaid facility see SI 02005.050

⁵ No longer applicable effective October 1, 1990; members of couple must live together except for temporary absences (SI 00835.040) or temporary institutionalization (SI 00520.140).

H. EXHIBIT - VALUES FOR CY 1991

*All presumed values are rebuttable

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

⁴ Effective October 1, 1990 members of an eligible couple become two individuals the month following the month in which they begin living apart; therefore, there are no longer values for members of a separated couple.

I. EXHIBIT - VALUES FOR CY 1992

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

J. EXHIBIT - VALUES FOR CY 1993

¹ Covers any noninstitutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase, “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

K. EXHIBIT - VALUES FOR CY 1994

*All presumed values are rebuttable

¹ Covers any non-institutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

L. EXHIBIT - VALUES FOR CY 1995

*All presumed values are rebuttable

¹ Covers any non-institutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

M. EXHIBIT - VALUES FOR CY 1996

*All presumed values are rebuttable

¹ Covers any non-institutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

N. EXHIBIT - VALUES FOR CY 1997

*All presumed values are rebuttable

¹ Covers any non-institutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

O. EXHIBIT - VALUES FOR CY 1998

*All presumed values are rebuttable

¹ Covers any non-institutional living arrangement except AFDC Foster Care and situations where statutory one-third reduction applies (i.e., where eligible individual, both members of eligible couple, or both eligible individual and essential person receive support and maintenance in the household of another).

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

P. EXHIBIT - VALUES FOR CY 1999

*All presumed values are rebuttable.

¹ See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

² Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

Q. EXHIBIT - VALUES FOR CY 2000

*All presumed values are rebuttable.

¹ Benefits paid from January 2000 through July 2001 were based on Federal benefit rates of $512.00 and $530.00 respectively. Pursuant to Public Law 106-554, beginning in August 2001, monthly payments for 2000 and 2001 were effectively based on the higher $513.00 and $531.00 amounts.

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

R. EXHIBIT - VALUES FOR CY 2001

*All presumed values are rebuttable.

¹ Benefits paid from January 2000 through July 2001 were based on Federal benefit rates of $512.00 and $530.00 respectively. Pursuant to Public Law 106-554, beginning in August 2001, monthly payments for 2000 and 2001 were effectively based on the higher $513.00 and $531.00 amounts.

² See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

³ Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

S. EXHIBIT - VALUES FOR CY 2002

*All presumed values are rebuttable.

¹ See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

² Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

T. EXHIBIT - VALUES FOR CY 2003

*All presumed values are rebuttable.

¹ See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

² Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

U. EXHIBIT - VALUES FOR CY 2004

*All presumed values are rebuttable.

¹ See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

² Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.

V. EXHIBIT - VALUES FOR CY 2005

*All presumed values are rebuttable.

¹ See SI 00835.200 ff. for a full discussion of the application of the phrase “household of another.”

² Covers all nonmedical institutions, including those for education or vocational training, and private nonprofit domiciliary care facilities where there is chargeable in-kind support and maintenance.